Alumni Profile Update

E-mail *
Please enter your email address
Prefix
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First Name *
Please enter your first name.
Middle Name
Please enter your middle name
Last Name *
Please enter your last name.
Suffix
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Has your last name changed
since attending QU? *
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Maiden Name or Last Name while at QU
Please enter your maiden name.
Birthday (mm-dd-yyyy) *
Please enter your birthday using the following format: mm-dd-yyyy
Graduation Year *
Please select your year of graduation

Spouse

Spouse Name
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Is Spouse QU/QC Alum?
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Spouse QU/QC Graduation Year (if applicable)
Please select your year of graduation

Address Information

Address *
Please enter your street address
Address Line 2
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City *
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State *
Please select your state
Zip Code *
Please enter your 5 or 9 digit zip code in the format 12345 or 12345-6789
Primary Phone (123-456-7890)
Please enter your primary phone number using the following format 123-456-7890
Primary Phone Type
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Secondary Phone (123-456-7890)
Please enter your primary phone number using the following format 123-456-7890
Secondary Phone Type
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Special Announcements

Special Announcements (check all that apply)




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Spouse Name
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Wedding Date (mm-dd-yyyy)
Please enter your wedding date using the following format: mm-dd-yyyy
Wedding Location
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Baby Name
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Baby Birthdate (mm-dd-yyyy)
Please enter your babies birth date using the following format: mm-dd-yyyy
Older Sibling(s) (separate with commas)
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Employer Name
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Position
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Employer City
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Employer State
Please select your state
Start Date (mm-dd-yyyy)
Please enter your start date using the following format: mm-dd-yyyy
Name of Award
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Name of Organization
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Date of Award (mm-dd-yyyy)
Please enter the date of the award using the following format: mm-dd-yyyy
Other Updates (please explain)
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Photo Upload (optional)
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Photo Details (who, what, where, etc.)
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Would you like to receive a complimentary
"Q-Perks" card which grants you special QU alumni discounts?


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Security Code Security Code
Please enter the 4 digit security code